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Administrative Operations Specialist CMG

4 months ago

Gastonia, United States CaroMont Health Full time

Job Summary:# Responsible for reviewing, monitoring and completing request from clinics to change encounter or single items already posted and processed, that have been denied, incorrect or incomplete. Responsible for capture and appropriate submission of all charge/patient demographic information for selected practice.## Verify accuracy of credit balances and process necessary refund to guarantors, patients, insurance carriers or government entities in a timely, efficient manner. Accurately process assigned correspondence. Process HealthNet Gaston and Collection Agency reports.# Complete and forward as appropriate all internal mail transactions including but not limited to, returned mail, outgoing mail, incoming sorting of mail and interoffice mail. Perform other related functions as needed and assigned. Qualifications:##High school diploma (or equivalent) required. Three years experience in healthcare billing and coding with knowledge of insurance carrier guidelines and CMS regulations preferred.# Must be self driven and able to communicate effectively and professionally in a high volume environment. #Excellent organizational and analytical skill with attention to detail required. A positive and proactive attitude toward achieving overall department goals required.# PC experience including word processing # spreadsheet applications preferred.#